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After graduating from New York University in 1987 with a degree in communications, Attell worked menial jobs during the day and put in his time at comedy clubs at night. He worked his first gig at Governor's in Levittown and, according to Attell, "totally bombed".[citation needed]

The same year the network signed him on as a regular commentator on their satirical news show The Daily Show. When he arrived in 1999, the show was just finding its audience after the departure of host Craig Kilborn and the arrival of Jon Stewart, an old friend of Attell's from the New York comedy circuit. The three-year stint gave Attell access to a mass audience on a regular basis (The Daily Show has done much the same for comedians Stephen Colbert, Steve Carell, Lewis Black and others). Attell's series of commentary on the show was called "The Ugly American".

In 2003, Attell began appearing semi-regularly on Tough Crowd with Colin Quinn. The show featured many of the performers he works with every day at the underground comedy club the Comedy Cellar and is based on the conversations they would have off-stage at the Olive Tree Cafe, the restaurant above the club. The unscripted show was canceled in November 2004 due to poor ratings and controversial subject matter.

In 2007, Attell appeared in the Michael Addis film, Heckler.Heckler is a comedic feature documentary exploring the increasingly critical world we live in. Attell appeared on Comedy Central's Last Laugh in 2007.

In May 2008, Attell announced a casting call on his MySpace page for Comedy Central's relaunch of The Gong Show. Attell was host, along with Greg Fitzsimmons serving as head writer on the series. However, The Gong Show with Dave Attell aired only from July to September 2008.

Attell returned to television on Showtime beginning October 20, 2011 in Dave's Old Porn, a TV series in which Attell views and jokes about retro 70's/80's pornographic movies with different guest comedians. Typically, during a given show, Attell and his guest view clips that give an overview of a particular retro porn star's career. Near the end of that show, that particular porn actor appears and also comments on clips from some of his/her movies.[9]

Insomniac with Dave Attell was a television series[2] described by Attell as "Wild on E! for Ugly People", it featured Attell walking the streets of America's cities late at night, meeting the people in a haze of ecstatic inebriation. The show occasionally went overseas.

The foreign cities featured on the show were Amsterdam, Dublin, London, Montreal, Tijuana, Toronto, and specials that took place in Berlin, Rio de Janeiro, and Tokyo.

The most common activity (besides roaming the street aimlessly and visiting bars) was visiting workers on their night shifts. Instead of spending time with gas station attendants, he went searching for odd professions to highlight. Among them were crime-scene cleaners, bail bondsmen, cow-milkers, brothel-hookers, bicycle cops, coal miners, and porn overdubbers. Memorable episodes include a visit to Chicago's world-famous The Wieners Circle, where the staff routinely got in cursing matches with their customers, and a visit to a Phoenix nudist camp.

Throughout the run of the show, Attell carried around a one-time-use film camera and took pictures of random events, which would be shown during the end-credits.

Pootie Tang saw Attell as the bumbling corporate lackey, "Frank". The film was written and directed by fellow comedian Louis C.K. It co-starred Lance Crouther, Wanda Sykes and Chris Rock among others.

Attell also played "Efram the Driver" in the Independent feature My Suicidal Sweetheart, written and directed by filmmaking newcomer Michael Parness. The film co-starred Natasha Lyonne, David Krumholtz, Tim Blake Nelson, Lorraine Bracco, David Paymer and Rosanna Arquette.

Attell had cameo appearances in the films Abby Singer and Scary Movie 4.